Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRUCE R BROWN, DDS
ActiveDR. BRUCE R BROWN, DDS is a Endodontics healthcare provider located in PORT JEFFERSON STATION, New York. NPI 1760514863 is currently active in the NPPES registry. Verify at CMS.
Endodontics · PORT JEFFERSON STATION, NY
Registration Details
- NPI Number
- 1760514863
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 12, 2007 (19.429236728348 yrs)
- Last Updated
- Jul 8, 2007
- License
-
031788 (NY)
Practice Information
- Address
-
14 ROOSEVELT AVEPORT JEFFERSON STATION, NY, 117763337Browse NY providers · Browse ZIP 11776
- Phone
- 6314764364
- Fax
- 6314740998
- Primary Specialty
-
Endodontics
1223E0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.